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[单用或联合抗生素治疗脓毒症的中医临床实践指南解读与展望]

[Interpretation and prospect of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for sepsis].

作者信息

Huang Po, Zhao Guo-Zhen, Chen Yi-Shan, Ha Yan-Xiang, Zhang Rui, Hu Jing, Feng Shuo, Guo Yu-Hong, He Sha-Sha, Liao Xing, Xie Yan-Ming, Zhang Jun-Hua, Zhang Bo-Li, Li Bo, Liu Qing-Quan

机构信息

Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University/Beijing Institute of Traditional Chinese Medicine, Beijing 100010, China.

Capital Medical University, Beijing 100069, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2018 Dec;43(24):4782-4785. doi: 10.19540/j.cnki.cjcmm.20181009.005.

DOI:10.19540/j.cnki.cjcmm.20181009.005
PMID:30717519
Abstract

Clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for sepsis is strictly in accordance with the latest diagnostic criteria for sepsis (sepsis-3) for the treatment of septic patients at different stages through syndrome differentiation. At present, the abuse of antibiotics and the prevalence of drug-resistant bacteria are very serious, without effective solutions. Thus, this is the first time to focus on traditional Chinese medicine combined with antibiotics to treat sepsis, in order to minimize the incidence of drug-resistant bacteria. This Guideline tends to systematically analyze the sepsis period, septic shock period as well as different clinical symptoms and traditional Chinese medicine measures for organ dysfunction in the sepsis process. By analyzing and interpreting the Guideline systematically, the clinicians could understand its purpose, significance and core ideas more thoroughly, and grasp the recommended specific interventions as well as their advantages and disadvantages, hoping to better implement the Guideline, provide guidance to clinicians and standardize the treatment of sepsis by traditional Chinese medicine.

摘要

《单用中医治疗或中西医结合治疗脓毒症的临床实践指南》严格按照最新脓毒症诊断标准(脓毒症-3),通过辨证论治对不同阶段的脓毒症患者进行治疗。目前,抗生素滥用及耐药菌流行情况十分严重,尚无有效解决办法。因此,本指南首次聚焦于中西医结合治疗脓毒症,以尽量减少耐药菌的发生率。本指南倾向于系统分析脓毒症期、感染性休克期以及脓毒症过程中不同临床症状及器官功能障碍的中医应对措施。通过对本指南进行系统分析和解读,临床医生能够更深入地理解其目的、意义和核心思想,掌握推荐的具体干预措施及其优缺点,希望能更好地实施本指南,为临床医生提供指导并规范中医治疗脓毒症。

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